Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.79 / $26.92 / $51.29	Facility	26	$14.79	$26.92	$51.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $37.15 / $85.11	Professional		$17.38	$37.15	$85.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $19.50 / $46.77	Professional	26	$8.13	$19.50	$46.77
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $22.91 / $44.67	Professional	TC	$10.47	$22.91	$44.67
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $21.88 / $28.18	Professional	26	$17.38	$21.88	$28.18
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $19.05 / $19.95	Professional	26	$17.78	$19.05	$19.95
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $41.69 / $43.65	Professional		$27.54	$41.69	$43.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.49 / $19.95	Professional	26	$12.88	$15.49	$19.95
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $26.92 / $27.54	Professional	TC	$13.49	$26.92	$27.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $29.51 / $67.61	Professional		$17.38	$29.51	$67.61
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.02 / $26.30	Professional	26	$7.59	$12.02	$26.30
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.33 / $19.05 / $44.67	Professional	TC	$9.33	$19.05	$44.67
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $74.13	Professional		$44.67	$60.26	$74.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $19.95 / $23.99	Professional	26	$14.79	$19.95	$23.99
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $38.90 / $48.98	Professional	TC	$29.51	$38.90	$48.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $42.66 / $70.79	Professional		$18.20	$42.66	$70.79
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $15.14 / $25.70	Professional	26	$6.46	$15.14	$25.70
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $27.54 / $45.71	Professional	TC	$10.96	$27.54	$45.71
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $17.78 / $23.99	Professional	26	$15.14	$17.78	$23.99
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $19.05 / $22.91	Professional	26	$15.85	$19.05	$22.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $22.39 / $26.92	Facility	26	$14.13	$22.39	$26.92
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $40.74 / $81.28	Professional		$19.05	$40.74	$81.28
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $15.14 / $28.18	Professional	26	$7.94	$15.14	$28.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $25.12 / $51.29	Professional	TC	$10.96	$25.12	$51.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $34.67 / $77.62	Professional		$32.36	$34.67	$77.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $8.91 / $14.79	Facility	26	$8.91	$8.91	$14.79
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $25.70 / $147.91	Professional		$13.80	$25.70	$147.91
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.79 / $15.49	Professional	26	$8.91	$14.79	$15.49
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $25.70 / $28.18	Professional	TC	$15.85	$25.70	$28.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $42.66 / $85.11	Professional		$19.95	$42.66	$85.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $15.85 / $32.36	Professional	26	$7.59	$15.85	$32.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $26.92 / $51.29	Professional	TC	$11.75	$26.92	$51.29

Pennsylvania rates for HCPCS 76098